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Impaired neurotransmitter signaling may occur via diverse mechanisms, such as neurotransmitter release inhibition, alterations in neurotransmitter clearance from the synaptic cleft, or modulation of receptor levels or activity

Among the most frequently reported adverse effects are minor and self-limiting such as local injection site erythema, transient hormonal shifts, and receptor desensitization with prolonged or high-frequency use

Minimizing and managing side effects Proactive strategies reduce the likelihood of side effects and help manage any that occur

What the rules say, and what most runners actually need BPC-157 has been on WADAs prohibited list since January 2022 under category S0, non-approved substances